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作者用钡餐造影、同位素和生化方法检查了133例确诊为类风湿性关节炎患者的小肠运动排空和脂肪糖吸收功能,约1/3例出现异常。年龄16～60岁,多数为青年和中年人。94例以关节型为主,39例为关节内脏型。病程1～28年,85例超过5年。76例无肠道病变之主诉症状,其余患者有全身虚弱、体重减轻、便秘、腹泻、大便不成形、下腹或脐部疼痛、腹鸣及腹胀等。检查方法:小肠运动排空功能以钡餐透视、全腹片及点片观察。钡剂开始充盈小肠头部后,每小时观察一次,钡头到盆部小肠后,患者用餐,30～35分钟后观察胃回肠运动反射。脂肪吸收试验:早餐前30分钟空腹服15毫升~(131)碘标示的顺油酸,收集粪便测量放射性,直至放射性完全消失为止,平均需收集4～5天的大便,以此推算出排出脂肪量占
Using barium meal angiography, isotope and biochemical methods examined 133 patients diagnosed with rheumatoid arthritis in patients with small bowel exercise emptying and absorption of glucose, about 1 in 3 cases were abnormal. Age 16 to 60 years old, mostly young and middle-aged. 94 cases of joint-based, 39 cases of visceral type. Duration of 1 to 28 years, 85 cases more than 5 years. There were 76 cases of chief complaint of no bowel disease. The rest had general weakness, weight loss, constipation, diarrhea, undeformed stools, pain in the lower abdomen or umbilical cord, abdominal pain and bloating. Inspection methods: emptying function of small intestine to barium meal perspective, the whole abdominal film and point observation. Barium began to fill the head of the small intestine, observed once an hour, after the first barium to the pelvis of the small intestine, patients eat 30 to 35 minutes after the observation of gastrointestinal motility reflex. Fat absorption test: 30 minutes before breakfast, fasting serving 15 ml ~ (131) iodine-labeled paracetamol, collecting fecal measurement of radioactivity until the radioactivity disappeared so far, an average of 4 to 5 days to collect stool, which deduced fat Amount accounted for